Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(d)(3)
- Regulation authority
- CCR
What the official deficiency says
87465(d)(3) The date and time …medication was taken, the dosage taken, and the resident’s response shall be documented and maintained in the resident’s facility record. This requirement was not met as evidenced by: Deficient Practice Statement Based on interview conducted, observations, and records reviewed, S1 had administered R2’s morning medications and not recorded in the resident’s MAR, which poses/posed an immediate health and safety risk for the person in care.
Official plan of correction
POC Due Date: 08/04/2026 Plan of Correction Staff recorded all R2’s medications in the MARs during visit. L1 will provided a written a statement of steps the facility will take to ensure when medications are being administered and recorded in the residents’ MAR. Written statements of steps will be submitted to the Fresno CCL by POC due date 08/04/26.
Health conditions and treatmentsType A
- Official classification
- Type A
- Official code
- 87628(a)
- Regulation authority
- CCR
What the official deficiency says
87628 (a) The licensee shall be permitted to accept or retain a resident who has diabetes if the resident is able to perform his/her own glucose testing with blood or urine specimens, and is able to administer his/her own medication including medication administered orally or through injection, or has it administered by an appropriately skilled professional. This requirement was not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record reviewed, facility did not comply with the regulation listed above, R1 is receiving insulin. Records reviewed, R1 is able to administered own injections. Interviews confirms that staff is injecting R1’s insulin to R1, which poses an Immediate health and safety risk to residents in care.
Official plan of correction
POC Due Date: 08/04/2026 Plan of Correction Licensee stated the facility will provide a plan of correction in writing to include how the facility will address R1’s insulin will be injected. Plan will be submitted to the Fresno CCL by POC due date 08/4/26.
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87616(b)(2)
- Regulation authority
- CCR
What the official deficiency says
87616(b)(2) Written requests shall include, but are not limited to, the following: (2) The licensee's plan for ensuring that the resident's health related needs can be met by the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview conducted and records reviewed, Licensee did not ensure a restricted health care plan for R1’s restricted health condition, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 08/14/2026 Plan of Correction Licensee will provide a restricted health care plan for R1 by POC due date of 08/14/26.
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
87303 (a)The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above when LPA observed the non-skid mat and shower floor with mold in the master bathroom shower and hall shower. Side gate latch is in disrepair and fence door on the side between the neighbors is detached from the fence. The wall in the living room is in disrepair, which poses a potential health, safety or personal rights risk to person in care.
Official plan of correction
POC Due Date: 08/14/2026 Plan of Correction The staff cleaned the shower flooring and removed the mold non-skid mat during visit. Living room wall, side gate latch and fence will be repaired by POC. Proof of repairs will be submitted to the Fresno CCL by POC due date 8/14/26.